HARISH KEMPEGOWDA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

Title

First Name

HARISH

Last Name

KEMPEGOWDA

Business Name

HARISH KEMPEGOWDA MD

Original Issue Date

08/02/2019

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

HERRIN

State

Zip

62948

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023